Improvements seen in patients with pain, low physical function after foot and ankle surgery
TORONTO — Patients who had foot and ankle injuries and high initial pain scores and low initial physical function were likely to have improvements in these areas after surgery, according to results presented here.
“Patients with decreased function and increased pain did better and would be good candidates for surgery, and patients with increased function and decreased pain did worse and would be poor candidates for surgery,” Bryant S. Ho, MD, said in his presentation of the research, which received the J. Leonard Goldner Award. “Preoperative [patient-reported outcomes measurement information system] PROMIS scores can predict whether these patients would achieve or fail to achieve [minimally clinically important difference] MCID improvements, and thresholds could provide pre- and post-test probabilities.”
Ho and colleagues identified 8,000 patients who had 16,000 consecutive visits to a foot and ankle clinic between February 2015 and April 2016. Of these patients, 3,600 were new. Researchers excluded patients who had procedures for non-foot and ankle diagnoses, non-elective procedures, patients with fewer than 7 months of follow-up and patients with missing data. The final study cohort included 61 patients who underwent operative treatment.
“Our preoperative and postoperative scores and two-way ANOVA analysis demonstrated a statistically significant improvement in physical function and pain interference at final follow-up, but no difference in depression,” Ho said. – by Casey Tingle
Ho B, et al. Can initial PROMIS scores predict outcome for foot and ankle patients? Presented at: American Orthopaedic Foot and Ankle Society Annual Meeting; July 21-23, 2016; Toronto.
Disclosure: Ho reports no relevant financial disclosures.